Abstract: | BACKGROUND: Pancreatic abscess are serious clinical conditions that develop during the course of severe pancreatitis. A variety of treatments in pancreatic abscess have been reported, such as conventional open surgery, percutaneous drainage, and endoscopic cystogastrostomy. However, these forms of intervention are associated with considerable morbidity and adverse effects. A less invasive and more effective method is likely to be desired.
METHOD: With the clinical application of laparoscopic ultrasound and the development of laparoscopic skills has made laparoscopic cystogastrostomy as a preferred treatment for pancreatic abscess. We report a 49-year-old male patient suffering from pancreatic abscess was managed successfully by laparoscopic cystogastrostomy.
RESULTS: The patient recovered well after operation and was asymptomatic on a follow-up of six months with no recurrence on ultrasonography.
CONCLUSIONS: Due to the vicinity with the stomach, laparoscopic cystogastrostomy is an acceptable procedure for the treatment of pancreatic abscess. On the one hand, this approach is sufficient to eradicate infection; on the other hand, this minimally invasive technique reduces hospital stay and the patient recovery rapidly. |